Treatment Options for Congenital Heart Disease

(CHD)

Interventional procedures

In the past 25 or so years, treatment of congenital heart disease (CHD) has been revolutionized by the introduction of less-invasive procedures. When you think of repairing a heart defect, your first thought may be open-heart surgery. Prior to the 1980s, surgery was indeed the only available treatment option. Today, patients of all ages who are born with heart defects still may undergo surgery, but some defects can be corrected using what are called interventional procedures, which involve the use of thin, flexible tubes called catheters to make repairs to the heart and blood vessels.

During an interventional procedure, a cardiologist (called an interventional cardiologist) with special training in the use of catheters inserts a catheter through a small puncture site in the skin and advances it through a blood vessel to the heart. Once the catheter is in the desired position, it can be used to take diagnostic images of the heart and blood vessels or deliver treatments. Increasingly, hospitals are equipped to perform hybrid procedures, where heart defects can be corrected through a combination of interventional procedures and surgery.

Learning more about the following interventional procedures can help you better understand and discuss treatment options with your interventional cardiologist:

  • Catheter-based valve implantation
  • Closing holes in the heart
  • Fetal interventions
  • Hybrid interventions
  • Opening narrowed valves (valvuloplasty)